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NOXOPHARM LIMITED — Investor Presentation 2018
Nov 7, 2018
65437_rns_2018-11-07_8b705d44-b7cf-448b-9e0b-070ddd675f45.pdf
Investor Presentation
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Date: 8 November 2018 Sydney, Australia
ASX: NOX
Noxopharm Limited ABN 50 608 966 123
Registered Office and
Operational Office: Suite 3, Level 4 828 Pacific Highway Gordon NSW 2072 Australia
ASX Limited 20 Bridge Street SYDNEY NSW 2000
NOX releases latest corporate presentation
• Highlighting Veyonda[] as a radio-enhancer • R&D and commercial strategies
Sydney, November 8, 2018. Noxopharm (ASX: NOX) is pleased to release its latest corporate presentation. The presentation is part of an engagement with New Yorkbased public relations advisors, Life Science Advisors, relating to the Company’s outreach to the U.S. investment and medical markets.
Board of Directors
Mr Peter Marks Chairman Non-Executive Director
Graham Kelly, Noxopharm CEO, said, “The Company expects to be releasing clinical data from a number of clinical trials over the coming months. This updated presentation is a step towards keeping the market informed of the Company’s growing activities.”
……………………………………………………………..
Dr Graham Kelly Chief Executive Officer Managing Director
Dr Ian Dixon Non-Executive Director
About Veyonda[]
Veyonda[] (previously known as NOX66) is an innovative dosage formulation of the experimental anti-cancer drug, idronoxil, developed specifically to preserve the anti-cancer activity of idronoxil in the body and to enhance its drug-like behaviour. Idronoxil is a kinase inhibitor that works by inhibiting a range of enzymes, pre-eminent among which is sphingosine kinase, a key regulator of cell pro-survival mechanisms, and which is overexpressed in many cancer cells. Idronoxil also is an immuno-oncology drug, increasing the activity of the body’s innate immune system (NK cells).
About Noxopharm
Noxopharm is a clinical-stage Australian drug development company with offices in Sydney, Hong Kong and New York. The Company has a primary focus on the development of drugs based on an isoflavonoid chemical structure. Veyonda[] is the first pipeline product, with 3 other drug candidates for non-oncology indications under development in a subsidiary company.
Investor & Corporate Enquiries: Prue Kelly
M: 0459 022 445 E: [email protected]
Company Secretary: David Franks
T: +61 2 9299 9690 E: [email protected]
www.noxopharm.com
Forward Looking Statements
This announcement may contain forward-looking statements. You can identify these statements by the fact they use words such as “aim”, “anticipate”, “assume”, “believe”, “continue”, “could”, “estimate”, “expect”, “intend”, “may”, “plan”, “predict”, “project”, “plan”, “should”, “target”, “will” or “would” or the negative of such terms or other similar expressions. Forward-looking statements are based on estimates, projections and assumptions
made by Noxopharm about circumstances and events that have not yet taken place. Although Noxopharm believes the forward-looking statements to be reasonable, they are not certain. Forward-looking statements involve known and unknown risks, uncertainties and other factors that are in some cases beyond the Company’s control that could cause the actual results, performance or achievements to differ materially from those expressed or implied by the forward-looking statement. No representation, warranty or assurance (express or implied) is given or made by Noxopharm that the forward-looking statements contained in this announcement are accurate and undue reliance should not be placed upon such statements.
D I S C O V E R D E V E L O P D E L I V E R
ASX: NOX
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Disclaimer
This presentation has been prepared by Noxopharm Limited (NOX or the Company). It should not be considered as an offer or invitation to subscribe for or purchase any shares in NOX or as an inducement to purchase any shares in NOX. No agreement to subscribe for securities in the NOX will be entered into on the basis of this presentation or any information, opinions or conclusions expressed in the course of this presentation.
This presentation is not a prospectus, product disclosure document or other offering document under Australian law or under the law of any other jurisdiction. It has been prepared for information purposes only. This presentation contains general summary information and does not take into account the investment objectives, financial situation and particular needs of an individual investor. It is not a financial product advice and the Company is not licenced to, and does not provide, financial advice.
This presentation may contain forward-looking statements which are identified by words such as ‘may’, ‘could’, ‘believes’, ‘estimates’, ‘targets’, ‘expects’, or ‘intends’ and other similar words that involve risks and uncertainties. These statements are based on an assessment of past and present economic and operating conditions, and on a number of assumptions regarding future events and actions that, as at the date of this presentation, are expected to take place. Such forward-looking statements are not guarantees of future performance and involve known and unknown risks, uncertainties, assumptions and other important factors many of which are beyond the control of the Company, its Directors and management.
Although the Company believes that the expectations reflected in the forward looking statements included in this presentation are reasonable, none of the Company, its Directors or officers can give, or gives, any assurance that the results, performance or achievements expressed or implied by the forward-looking statements contained in this document will actually occur or that the assumptions on which those statements are based are exhaustive or will prove to be correct beyond the date of its making. Readers are cautioned not to place undue reliance on these forward-looking statements. Except to the extent required by law, the Company has no intention to update or revise forward-looking statements, or to publish prospective financial information in the future, regardless of whether new information, future events or any other factors affect the information contained in this presentation.
Readers should make their own independent assessment of the information and take their own independent professional advice in relation to the information and any proposed action to be taken on the basis of the information. To the maximum extent permitted by law, the Company and its professional advisors and their related bodies corporate, affiliates and each of their respective directors, officers, management, employees, advisers and agents and any other person involved in the preparation of this presentation disclaim all liability and responsibility (including without limitation and liability arising from fault or negligence) for any direct or indirect loss or damage which may arise or be suffered through use of or reliance on anything contained in, or omitted from, this presentation. Neither the Company nor its advisors have any responsibility or obligation to update this presentation or inform the reader of any matter arising or coming to their notice after the date of this presentation document which may affect any matter referred to in the presentation.
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Noxopharm At-a-Glance
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Australian biotechnology company
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Aim to bring Veyonda® dual-ac'on radio-enhancing/immuno-oncology drug
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Listed Aug 2016: ASX (NOX)
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Market cap: AUD$53 million
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PIPELINE OF 1 CLINICAL AND 3 PRECLINICAL DRUG PROGRAMS Cash: AUD$9.6 million (Sept 30) (+ anVcipated >$3m R&D rebate)
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Investment Highlights
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§ Leader in the development of isoflavonoid-based therapeutics, an emerging field of drug development
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§ Novel family of G-protein inhibitors blocking key signaling pathways
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§ Key proprietary know-how on maximizing drug-like activity
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§ Targeted applications across multiple therapeutic areas of high unmet need, including cancer, cardiovascular disease, neurodegenerative disease and autoimmune diseases
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§ Commencing with Veyonda®, a sphingosine kinase inhibitor that boosts tumor response to chemotherapy and radiotherapy, major unmet needs
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§ Targeting 2022 for revenue generation through commercialization of Veyonda® in first instance as radio-enhancer
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§ Seasoned management and Board with deep public-company biotechnology experience
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- § Founder and CEO, Graham Kelly, previously founded NASDAQ-listed companies - Novogen Ltd and Marshall Edwards Inc (MEI Pharma Inc). 4
Pipeline
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PRECLINICAL PHASE 1 PHASE 2
ONCOLOGY
Veyonda® Chemo-enhancement
Veyonda® Radio-enhancement DARRT
Veyonda® Radio-enhancement LuPIN
NON-ONCOLOGY
NYX-330 LDL Lowering
NYX-104 Neuro-protection
NYX-205 Peripheral neuropathy
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Overall Drug Development Strategy
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Ø NOX to take Veyonda® through the registra6on process to marke6ng approval
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Ø Final registra6on study to start H2 2019 as an enhancer of radiotherapy in late-stage prostate cancer (DARRT program). Objec6ve = marke6ng approval by 2022
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Ø In 2019 extend DARRT into lung cancer, sarcomas and brain cancer to expand market opportuni6es and establish Veyonda® as standard-of-care radio-enhancer
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Ø Confirm use of Veyonda® as enhancer of Lu-PSMA (Endocyte Inc) therapy in prostate cancer ahead of an6cipated marke6ng approval of Lu-PSMA in 2022
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Ø Conduct Phase 2 study of Veyonda® as an enhancer of chemotherapy for pa6ents where cytotoxic chemotherapy is considered inappropriate for safety reasons, further establishing the broader u6lity of this drug candidate
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Ø Establish NOX as tradi6onal biopharma company by extending the pipeline beyond oncology into a wide range of non-oncology indica6ons
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Overall Commercial Strategy
Ø NOX to remain an independent biopharma company based on proprietary IP enabling the development of a new class of drugs across a range of degenerative diseases
Ø Establish marketing collaborations with larger companies for larger markets Ø NOX to retain some rest-of-world territories for itself
Ø Hong Kong office established ahead of clinical and commercial activities in China Ø New York office established to raise profile of Company in the US investment and medical/patient sectors
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Oncology Pipeline
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PRECLINICAL PHASE 1 PHASE 2
ONCOLOGY
Veyonda® Chemo-enhancement
Veyonda® Radio-enhancement DARRT
Veyonda® Radio-enhancement LuPIN
NON-ONCOLOGY
NYX-330 LDL Lowering
NYX-104 Neuro-protecHon
NYX-205 Peripheral neuropathies
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Standard Radiotherapy – good but needs help ….
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§ Pros:
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§ poten2ally cura2ve if used sufficiently early
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§ Short course, usually well tolerated, rela2vely inexpensive
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§ Cons:
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§ Radia2on sickness caps amount and number of courses
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§
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§ metastases
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- §
= typically pallia<ve use only in advanced cancers
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known as an Abscopal Response
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An ABSCOPAL RESPONSE is a response to radiation in tumors outside the field of radiation
An abscopal response refers to an anti-cancer effect on nonirradiated lesions involving the following response spectrum:
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Ø stable disease - <30% shrinkage; no new tumors
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Ø Partial abscopal response - >30% shrinkage
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Ø Complete abscopal response - no tumors evident
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Ø A mixture in the one patient of all of the above
The mechanism of the abscopal response remain unknown but is believed to involve both immunological and epigenetic (miRNA) components
Radiotherapy for ParHal abscopal Complete abscopal single tumor response response
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Abscopal Responses Now Can Be Deliberately Induced
Abscopal responses now recognized as a likely quantum leap forward in the treatment of cancer.
Up to 2005, very rare phenomenon
The introduc8on of immuno-oncology (i-o) drugs including PD-1 and PD-L1 inhibitors has increased the frequency of abscopal responses
Exci8ng data shows combining i-o drugs with radiotherapy results in abscopal response rates of between 20-25% in certain cancers
Noxopharm believes that Veyonda® will surpass the abscopal response benefits seen with i-o drugs because:
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Cancer cell damaged by radiation and dies …..
… releasing an8gens and epigene8c signals ….
… that ac8vate immune cells (NK cells/T cells) that then aSack distant cancer cells.
a) Veyonda® has mul8ple mechanisms of ac8on, and
b) Veyonda® is ac8ve across a broader spectrum of cancers.
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IDRONOXIL: a mul.-ac.ng immuno-oncology drug
Idronoxil (Veyonda®ac-ve ingredient) works in 3 ways:
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Idronoxil kills cancer cells on its own ( ac#vates apopto#c pathways )
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By increasing chromosomal damage from radiotherapy by holding cells at a stage of mitosis(G2M) where they are most vulnerable to radia-on
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By blocking the cancer cell’s ability to repair radia-on-induced DNA damage by blocking DNA repair mechanisms
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Idronoxil s-mulates the body’s innate immune system (NK cells)
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Ø is a Sphingosine kinase primary regulator of prosurvival and growth signaling pathways
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Ø Sphingosine kinase highly expressed in most cancers
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Ø Idronoxil specifically inhibits sphingosine kinase, resul>ng in downstream inhibi>on of:
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Cyclin dependent kinases (CDKs) = mito@c arrest
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PARP-1, PARP-2, and topoisomerases 1 and 2 = block DNA repair
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AKT, PI3K and mTOR pathways = inhibit mul>ple pro-survival pathways = apoptosis
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- Ø Idronoxil does NOT inhibit sphingosine kinase in healthy cells
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Veyonda ®
Idronoxil: Addi,onal Immuno-oncology Mechanism
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In addion to its radio-enhancing acvity, idronoxil also works through an addional immuno-oncology mechanism Idronoxil acvates the innate immune system (monocytes and natural killer cells) Natural killer (NK) cells are the body’s primary defence mechanism against cancer cells
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Veyonda ®
Veyonda® - A Proprietary Formula5on of Idronoxil - Veyonda® delivers a proprietary pro drug form of idronoxil that…
Protects idronoxil from being inac=vated by the body’s detox enzymes Increases the half-life of idronoxil from 45 minutes to >10 hours
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Veyonda ® is a convenient-to-use, self-administered dosage form that preserves idronoxil in a bio-available, ac5ve form at therapeu5c blood levels over 24 hours.
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Veyonda® - A First-in-Class Radio-Enhancer AND Immuno-Oncology Drug
Veyonda ®
: Veyonda®
Selec?vely enhancing radia/on only in cancer cells, sparing healthy normal /ssue of radia/on 2-3 /mes Increasing the cancer cell-killing effect Working effec?vely across a broad spectrum of cancers Well tolerated in combina/on with radiotherapy
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Objec8ve is to make Veyonda® a standard cotreatment with radiotherapy
Veyonda ®
Well tolerated:
Combinaon (Veyonda® + radiotherapy) tested to date in 38 paents with no doselimi*ng toxicity
Short course of treatment for increased safety and reduced cost: 5 days of radiotherapy; maximum 21 days of Veyonda®
Use with pallia8ve dosages of radiotherapy: Allows radiotherapy to be used for tumors in sensive ssues (e.g. spine, heart)
Poten8al use across the cancer spectrum: Idronoxil ac*ve in the laboratory against all forms of cancer tested
Readily crosses blood-brain barrier: Able to be tested for primary and secondary brain cancer
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Veyonda® - Currently Being Evaluated as a Radio-enhancer in Two Clinical Programs
Veyonda ®
DARRT - D irect and A bscopal R esponse to R adio T herapy
LuPIN -[177] Lu te4um- P SMA-617 I n Combina4on with Veyo n da
18-Month Development Plan
Non-small cell lung cancer Sarcomas
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DARRT – A treatment regimen intended for pa8ents with late-stage solid cancers who are eligible for pallia8ve radiotherapy
Veyonda ® 9 DARRT
Maximising death of Prepares cancer cell cancer cells by blocking DNA for maximum repair of DNA. Blocking post-radia8on radia8on damage. DNA repair. Primes NK cells. Radiotherapy Veyonda® Veyonda® Veyonda® ~~Days 1-5 Days 6-10 Days 11-18~~
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Veyonda ® DARRT
DIRECT RESPONSE
At a minimum, Veyonda ® is expected to lead to better DIRECT responses to radiotherapy by functioning as a radio-enhancer
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Shrinkage of Complete resoluIon
Irradiated tumor of Irradiated tumor
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ABSCOPAL RESPONSE
The best expected outcome would be an improved DIRECT response, plus and ABSCOPAL response driven by its i-o drug properIes
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ParIal abscopal Complete abscopal
response response
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Veyonda® projected to provide meaningful
Veyonda ® 9 DARRT
surviv |
al benefts |
9 DARRT |
||
|---|---|---|---|---|
| + Veyonda® | + Veyonda® | |||
| PalliaFve radiotherapy |
Effect limited to irradiated tumors Efect on irradiated + non-irradiated tumors |
|||
| only | ||||
| Symptoms (pain) | + | +++ | +++ | |
| CLINICAL | Quality of Life | + | ++ | +++ |
| BENEFIT | Time to disease progression | + | ++ | ++++ |
| Overall survival | + | ++ | ++++ |
NOTE: PalliaFve radiotherapy alone intended to relieve symptoms such as pain; it is not expected to deliver anything more than a temporary and minor effect on disease progression
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DARRT-1: Phase 1b clinical trial evalua<ng the safety and efficacy of Veyonda® in men with late-stage prostate cancer eligible for pallia<ve radia<on for pain and symptom management
Veyonda ® 9 DARRT
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Combining Veyonda® with palliative radiotherapy to determine:
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Safety across three dose cohorts (400, 800, 1200 mg)
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Determine dosage for Phase 2/3 registration study
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Signals of efficacy to support expansion of trial to additional solid tumor indications (lung, sarcoma)
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Secondary endpoints include:
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Longer progression-free survival (through stable disease or abscopal response)
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Change in tumor size in target irradiated or non-irradiated lesions measured by RECIST
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PSA response
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DARRT-1 Prostate Cancer: Early clinical Evidence of Halt to Disease Progression
Veyonda ® 9 DARRT
Cohort 1 : 400 mg Veyonda®
- 4 pa,ents
12 weeks:
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3 pa,ents with stable disease
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1 a,ent disease ro ression p p g
Cohort 2 : 800 mg Veyonda®
• 2 pa,ents
- (+ 2 replacement pa,ents treated but yet to be reviewed)
12 weeks:
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1 pa,ent disease progression
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1 pa,ent par*al abscopal response
Cohort 3 : 1200 mg Veyonda®
- 1 pa,ent
12 weeks:
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1 pa,ent par*al abscopal response
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(+ 3 pa,ents treated but yet to be reviewed)
NOTE: All paents entered study with progressive disease. End-point of DARRT is to increase the me to disease progression which is measured by PSA levels and where even an abscopal response in the form of stable disease is a highly significant outcome for this paent populaon
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Veyonda ® DARRT
Case Study: Example of a Complete Abscopal Response
Pa3ent with metastaDc castrate-resistant prostate cancer . Being treated with pallia3ve radiotherapy for spinal lesions.
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Combined with Veyonda® produced a complete abscopal response within 2 months.
AHer 4 years remains lesion-free and with undetectable PSA levels
| 7/7/14 | 29/9/14 | 28/11/14 | 2/3/15 | 30/4/15 | |
|---|---|---|---|---|---|
| Total PSA | 140 | 170 | 13 | 0.18 | 0.07 |
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DARRT-1 Prostate Cancer: Data Read-outs
Veyonda ® 9 DARRT
Cohorts 1, 2 and 3 Cohorts 1, 2 and 3 Cohort 4 6- & 12-week assessments 24-week assessments 12-week assessments End Q1 End of ~~Dec 2018~~ 2019 Q2 2019
Company planning to report 6-week and interim 12- and 24-weeks data from Cohorts 1-3 by year-end 2018
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DARRT: Broad PotenIal UIlity In Solid Tumors
Veyonda ® DARRT
PROGRAM STRATEGY 2018/2019 DARRT
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DARRT-1 DARRT-2 DARRT-3 DARRT-4 Prostate cancer Lung cancer Sarcomas Brain cancer (GBM) (current) Q1 2019 Q1 2019 Q3 2019
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Endocyte’s Lutetium-PSMA-617 Targeted Brachytherapy for Prostate Cancer
Veyonda ® 9 LuPIN
PSMA-617 is a pep2de that recognizes and targets prostate specific membrane an2gen (PSMA). 85-90% cases pf prostate cancer are PSMA +ve
Lu-PSMA-617 links radioac2ve lute2um isotope to PSMA617, delivering radioac2vity directly to prostate cells and sparing healthy 2ssue
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Only 1/3 of pa2ents show durable responses
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2/3 of pa2ents fail to complete 36-week course of treatment due to not responding or relapsing during treatment
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- Radia2on from 177-Lute2um only penetrates to a maximum of 2mm, limi2ng efficacy to micro-metastases and being much less effec2ve against larger lesions
Image Source: Endocyte
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NVS-ECYT Deal Shows Growing Interest in Targeted Radiotherapy and Lu-PSMA
Novar(s pending acquisi(on of EndoCyte for $2.1 billion Provides Novar(s access to 177 Lu-PSMA-617 (Lu-PSMA) currently being evaluated by Endocyte in a Phase 3 registra(onal study for metasta(c castra(on-resistant prostate cancer
Australian hospital currently running a Phase 1b trial (LuPIN-1) using Veyonda ® as a sensi(zing agent in combina(on with[177 ] Lu-PSMA-617 provided by EndoCyte
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implica-ons for Noxopharm if Veyonda® is shown to boost Lu-PSMA efficacy
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LuPIN: Phase 1b inves5gator-ini5ated dose finding study evalua5ng the safety and efficacy of Veyonda® in combina5on with Lu-PSMA-617 in men with advanced, metasta5c prostate cancer
Veyonda ® 9 LuPIN
Ra&onale: That combining Veyonda® with Lu-PSMA-617 will:
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Poten5ally provide an abscopal response
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Improve the response rates to Lu-PSMA-617
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Ensure that the majority of men complete their full 36-week treatment course (compared to current 33% level)
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Deliver a more durable response that will deliver meaningful increase in survival
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LuPIN-1 Study Design
Veyonda ® LuPIN
Enrollment : Late-stage prostate cancer -metasta3c castrate-resistant disease Trial Design : 6 x 6-weekly IV injec3ons of[177] Lute3um-PSMA-617 + 10 days Veyonda® with each injec3on
Two dosing cohorts : 8 pa3ents 400 mg Veyonda ® ; 24 pa3ents 800 mg Veyonda ®
: Two primary endpoints
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Safety
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Clinical response measured by PSA levels, scans and clinical evalua3ons at 3, 6 and 12 months
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Non-Oncology Pipeline
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PRECLINICAL PHASE 1 PHASE 2
ONCOLOGY
Veyonda® Chemo-enhancement
Veyonda® Radio-enhancement DARRT
Veyonda® Radio-enhancement LuPIN
NON-ONCOLOGY
NYX-330 LDL Lowering
NYX-104 Neuro-protecHon
NYX-205 Peripheral neuropathies
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unmet medical needs
NYX-104
NYX-205
NYX-330
STATUS: Lead optimization
Lead op/miza/on
First-in-class neuro-protectant
To protect brain from secondary nerve damage caused by excitotoxicity associated with concussion, TBI, stroke and severe epilepsy
Blocks glutamate-induced calcium overload from intracellular and extra-cellular sources
Preclinical data demonstrates 56% reduc/on in excitotoxicity in mouse model of ischemic stroke
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First-in-class anti-inflammatory for peripheral neuropathy
Inhibits all major inflammatory cytokines and thromboxane; spares prostaglandins
- Readily crosses animal blood nerve barrier and enters peripheral nerves
200 different causes of peripheral neuropathy
Clinical indications(s) currently being evaluated in animal models
First-in-class small molecule PCSK9 inhibitor
To inhibit binding between PCSK9 and LDL receptor
Poten/al once a day oral treatment to be used in combina/on with sta/ns to achieve beSer control of LDL cholesterol levels
Poten/al to allow lower sta/n dosage to avoid nega/ve side effects associated with sta/n use such as muscle damage and risk of diabetes
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Expected Upcoming Milestones
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| Dec 2018 | DARRT 12-week assessments (Cohorts 1,2,3) |
| 1Q 2019 | DARRT 24-week assessments (Cohorts 1,2,3) |
| 1Q 2019 | Initiation of DARRT-2 (lung cancer) |
| 1Q 2019 | DARRT 12-week assessment (Cohort 4) |
| 1Q 2019 | Completion of LuPIN-1 enrollment |
| 1Q 2019 | Commence planning of DARRT-3 (sarcomas) |
| 2Q 2019 | Interim Phase 1 LuPIN-1 results |
| 3Q 2019 | Initiation of DARRT-4 (brain cancer) |
| 3Q 2019 | Initiation of Phase 2/Phase 3 DARRT-5 (prostate cancer) |
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Experienced Leadership Team
| Executive | Title | Prior Experience | |
|---|---|---|---|
| Graham Kelly, PhD | Founder and CEO | Novogen, Marshall Edwards Inc (MEIP) |
|
| Greg van Wyk, MD | Chief Medical Officer | Eli Lilly | |
| John Wilkinson PhD | Chief Scientific Officer (Oncology) |
Biotron | |
| James Bonnar | Chief Scientific Officer (Non-Oncology) |
Neuren |
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Key metrics
| Number of Shares | 121.9M: Free float 66.8% | ||
|---|---|---|---|
| Market Cap (1 Nov 2018) | AU$73M | ||
| CEO | |||
| IPO price | 20 cents | Directors | |
| 12 month high/low | $1.80/0.48 | Other founders8 | |
| Others | |||
| Average daily turnover | $0.54M | ||
| Cash position | AU$ 9.6 (30 Sept 2018) |
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Dr. Graham Kelly Chief Executive Officer [email protected]
D I S C O V E R D E V E L O P D E L I V E R
ASX: NOX
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